HCPCS Code M1474

Patients with diagnosis of dementia
Code effective Jan 01, 2026

HCPCS Section
Medical services

M1474 is a valid 2026 HCPCS code meaning Patients with diagnosis of dementia or (Pt dx dementia) for short. HCPCS M1474 has been effective since 01/01/2026 and applies to Medical care.

HCPCS Code Details - M1474

HCPCS Level II Code
Section M - Medical services
HCPCS Code M1474
Description

Long description:
Patients with diagnosis of dementia

Short description:
Pt dx dementia

HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Coverage code C - Carrier judgment
BETOS2 code Z2 - Undefined codes
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2026
Date added Added Jan 01, 2026

See also

  • HCPCS M1473 · Patient situations, at any point during the denominator identification period, where the patient's functional capacity or motivation (or lack thereof) to improve may impact the accuracy of results of validated tools, such as delirium, dementia, intellectual disabilities, and pervasive and specific development disorders

  • HCPCS M1475 · Patients with diagnosis of huntington's disease

  • HCPCS M1476 · Patients with diagnosis of cognitive impairment or alzheimer's disease

1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”

HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/29/2026

CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.